Sunova Healthcare S.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036100094 Issued in IL

Legal business name

SUNOVA HEALTHCARE S.C.

Practice address

1420 Renaissance Dr Ste 207
Park Ridge, IL 60068-1342

Phone

(847) 559-9015

Fax

(847) 574-7444

NPI assigned

Feb 8, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Julie Kopacz

Title

Practice Managaer

Phone

(847) 559-5091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sudesh G. Sachdeva, M.D.

  • Psychiatry Physician
  • Arlington Heights, IL
  • NPI 1043250228
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1083072839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 RENAISSANCE DR STE 211",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681353",
            "telephone_number": "847-559-9015",
            "fax_number": "847-296-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR STE 207",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681342",
            "telephone_number": "847-559-9015",
            "fax_number": "847-574-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNOVA HEALTHCARE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "KOPACZ",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PRACTICE MANAGAER",
        "authorized_official_telephone_number": "847-559-5091"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036100094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan D. Sullivan, MSW, L.C.S.W
• Frances Marie Sulzer, PSYCHOTHERAPIST
• Hibba Sumra, MD
• Amy F Sun, M.D.
• Michelle Lynn Sun, DO
• Sunrise Senior Living Management, Inc,
• Supreme Wellness Aesthetics & Recovery Inc
• Sajid Sattar Suriya, MD
• Stephanie C Surkin, DPT
• Susan K Burrowes MD LLC

• Psychiatry Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.